NCLEX-PN
Gastrointestinal NCLEX Questions
Extract:
Question 1 of 5
The nurse is admitting a client to a medical floor with a diagnosis of adenocarcinoma of the rectosigmoid colon. Which assessment data support this diagnosis?
Correct Answer: C
Rationale: Alternating diarrhea and constipation are common in rectosigmoid colon cancer due to partial obstruction by the tumor. Frequent bloody stools are more typical of ulcerative colitis, fullness is nonspecific, and right lower quadrant pain is less likely with rectosigmoid involvement.
Question 2 of 5
The weight loss clinic nurse identifies the concept of nutrition for a client diagnosed with obesity. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Asking about diets, dietitian referral, weighing, and setting goals support nutritional management for obesity. A sedentary lifestyle is contraindicated.
Question 3 of 5
Which nursing problem is priority for the 76-year-old client diagnosed with gastroenteritis from staphylococcal food poisoning?
Correct Answer: A
Rationale: Fluid volume deficit is the priority in elderly patients with gastroenteritis, as dehydration from vomiting and diarrhea poses significant risks. Nausea, aspiration, and urinary issues are secondary.
Question 4 of 5
The nurse is reviewing the health history of the client hospitalized with nonalcoholic fatty liver disease (NAFLD). Which finding should the nurse associate with this disease process?
Correct Answer: B
Rationale: A. Adults in their forties are most at risk for NAFLD, not someone 70 years of age. B. The client’s BMI is 35; a BMI of greater than 30 indicates obesity. The risk for developing NAFLD is directly related to body weight and is a major complication of obesity. C. Antibiotic use has no influence on NAFLD development. D. Climate has no influence on NAFLD development.
Question 5 of 5
During a home visit, the client’s spouse reports that since her husband’s placement of a colostomy 3 months ago, he has lost interest in golf. She also says he cries often for no reason, sleeps for only a few hours at night, and reports fatigue. The wife asks the nurse for advice. Which statement should be the basis for the nurse’s response?
Correct Answer: A
Rationale: The client is exhibiting signs of depression. At least 25% of clients develop clinically significant depression following colostomy. Poor adjustment to a stoma correlates to development of depression.